The Clinical Documentation Specialist facilitates internal process changes that bring physicians, case managers, and coders together to address opportunities to improve clinical documentation. The role works collaboratively with physicians to improve documentation compliance with criteria requirements under the Inpatient Prospective Payment System, eliminate payment errors caused by incomplete or inaccurate physician documentation at discharge, and ensure documentation is clear and concise. Using clinical and nursing knowledge of documentation requirements, the position improves the overall quality and completeness of patient-record documentation on a concurrent basis through a multidisciplinary team process.
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Job Type
Full-time
Education Level
No Education Listed